Braxton County Memorial Hospital
100 Hoylman Dr, Gassaway, WV · Wvumedicine · · NPI 1356304547
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| #cf-97variants CPT 81220 | $125.00 | $250.00 | not published | 0 |
| Change cystostomy tube; complex 51710 CPT 51710 | $83.00 | $166.00 | not published | 0 |
| Change cystostomy tube simple CPT 51705 | $244.00 | $488.00 | not published | 0 |
| Change of windpipe airway 31502 CPT 31502 | $35.00 | $70.00 | not published | 0 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $112.00 | $224.00 | not published | 0 |
| Chemodenervation anal musc CPT 46505 | $272.50 | $545.00 | not published | 0 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $121.00 | $242.00 | not published | 0 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | $216.00 | $432.00 | not published | 0 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $39.00 | $78.00 | not published | 0 |
| Chemodenerv musc migraine 64615 CPT 64615 | $131.00 | $262.00 | not published | 0 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $117.00 | $234.00 | not published | 0 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $122.50 | $245.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $163.00 | $326.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $845.50 | $1,691.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $694.00 | $1,388.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $647.00 | $1,294.00 | not published | 0 |
| Chest X-ray CPT 71046 | $141.00 | $282.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $96.00 | $192.00 | not published | 0 |
| Chiropractic manj 5 regions CPT 98942 | $43.00 | $86.00 | not published | 0 |
| Chiropract manj 1-2 regions CPT 98940 | $20.50 | $41.00 | not published | 0 |
| Chiropract manj 3-4 regions CPT 98941 | $31.50 | $63.00 | not published | 0 |
| Chiropract manj xtrspinl 1/> CPT 98943 | $22.00 | $44.00 | not published | 0 |
| Chloride CPT 82435 | $24.00 | $48.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $20.50 | $41.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $15.00 | $30.00 | not published | 0 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $1,246.50 | $2,493.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $330.50 | $661.00 | not published | 0 |
| Cholesterol CPT 82465 | $42.00 | $84.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $1,028.00 | $2,056.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $62.50 | $125.00 | not published | 0 |
| Cholinesterase CPT 82480 | $5.50 | $11.00 | not published | 0 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | $74.50 | $149.00 | not published | 0 |
| Chromatography CPT 83021 | $159.50 | $319.00 | not published | 0 |
| Chromo high res and frag x - sendout CPT 81243 | $510.50 | $1,021.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $110.00 | $220.00 | not published | 0 |
| Chromosome banding study CPT 88283 | $74.00 | $148.00 | not published | 0 |
| Chromosome count additional CPT 88285 | $62.50 | $125.00 | not published | 0 |
| Chronic urticaria - sendout CPT 86343 | $75.00 | $150.00 | not published | 0 |
| Chylomicron screen, bf - sendout CPT 82664 | $88.00 | $176.00 | not published | 0 |
| Circum 28 days or older CPT 54161 | $205.50 | $411.00 | not published | 0 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $151.00 | $302.00 | not published | 0 |
| Circumcision (newborn) CPT 54150 | $98.00 | $196.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | $630.00 | $1,260.00 | not published | 0 |
| Clearance of airways CPT 31725 | $81.50 | $163.00 | not published | 0 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $2.50 | $5.00 | $5.00 – $5.00 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $421.00 | $842.00 | not published | 0 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $804.50 | $1,609.00 | not published | 0 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $440.00 | $880.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $486.50 | $973.00 | not published | 0 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $425.00 | $850.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,587.00 | $3,174.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $125.00 | $250.00 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,540.00 | $3,080.00 | not published | 0 |
| Closed tx sesamoid fx 28530 CPT 28530 | $110.50 | $221.00 | not published | 0 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $235.00 | $470.00 | not published | 0 |
| Close tear duct opening CPT 68760 | $138.50 | $277.00 | not published | 0 |
| Close tear duct opening CPT 68761 | $111.50 | $223.00 | not published | 0 |
| Clos txnose fx without stablz 21315 CPT 21315 | $61.50 | $123.00 | not published | 0 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $936.00 | $1,872.00 | not published | 0 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $1,719.00 | $3,438.00 | not published | 0 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $1,088.00 | $2,176.00 | not published | 0 |
| Closure of eyelid by suture CPT 67875 | $89.50 | $179.00 | not published | 0 |
| Closure ureter/skin fistula CPT 50920 | $910.50 | $1,821.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $10.00 | $20.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $401.00 | $802.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $852.00 | $1,704.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $393.00 | $786.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $277.50 | $555.00 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $417.50 | $835.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $425.00 | $850.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $456.50 | $913.00 | not published | 0 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $346.00 | $692.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $385.50 | $771.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,073.50 | $4,147.00 | not published | 0 |
| Clsd tx fracture of radius 25500 CPT 25500 | $295.00 | $590.00 | not published | 0 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $141.00 | $282.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $446.50 | $893.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $425.00 | $850.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,686.00 | $3,372.00 | not published | 0 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $296.00 | $592.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,576.00 | $3,152.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $334.00 | $668.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $543.00 | $1,086.00 | not published | 0 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $392.00 | $784.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $378.50 | $757.00 | not published | 0 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $391.00 | $782.00 | not published | 0 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $244.00 | $488.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $425.00 | $850.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $446.50 | $893.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $246.50 | $493.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $236.50 | $473.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $360.50 | $721.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $435.50 | $871.00 | not published | 0 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $337.50 | $675.00 | not published | 0 |
| Clsd tx pelvic ring fx CPT 27197 | $137.00 | $274.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $367.00 | $734.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $425.00 | $850.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $484.50 | $969.00 | not published | 0 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $273.00 | $546.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $458.50 | $917.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.